savoytruffle BSN, RN

I am an RN and the Executive Director (ED) of an Alzheimer's Assisted Living Facility. Today we had a big marketing meeting with multiple facilities in our state. There were EDs, community relations directors, outreach professionals, regional opera...

No Elder abuse. Only employee abuse. The best resident care I have ever encountered, actually. I think that's why I hung on so long. Lots of high pressure sales and occupancy stressing, lots of micromanagement and bloated administration.

I was thinking of my exit interview with HR. I won't say anything until I've already created my exit strategy. The ombudsman program for my county currently has no volunteer. It took me three weeks to get a hold of someone in Albany last time I wa...

Hi there! I currently work as an executive director/ RN administrator at a dementia care adult home. It's not a skilled facility. We are considered more of an assisted living level. NY state regs are very specific about what kind of person I can reta...

She must have been terrified and angry. We have never seen that side of her. Once when she had a UTI and refused to go to the MD we had to call an ambulance and she fought the EMTs. All that info was right in the chart!

Over the weekend the Nursing home still refused to take her. She remains in the hospital while placement is found. I hope she gets settled soon so her family can enjoy Christmas.

I was an MDS program leader for many years. NY is a case mix state. The trainers that I took all of my AANAC courses from used SNF to signify the facility as a whole. Not bed designation for Medicare (rehab) vs Medicaid. All the facilities I worked ...

I got a call that she saw her name on the outside of the room and got upset. She would not allow the nurses to assess her. She was able to over turn a med cart. She went straight out to the ER to be evaluated for the psych emergency center, but bein...

She was going to be placed on a long term care floor. They knew that she was adulatory and had dementia. They knew she was currently living in a secured adult home. The thing that moved her on- she was no longer appropriate for the adult home due to ...

You don't need a license for this level of admin. (At least where I am in New York). I just recently did the same thing in my community. My ED left for another position, and I applied for hers. I will start as soon as the new DON is settled. I feel t...

I like to talk about my motorcycle. And music, books, movies. I had enough of my kids at home. It's nice to talk to people about other things besides my family. Love them to pieces, but I go to work to get away some days. You're young. You may be g...

I work in a small SNF (120 beds) as a unit manager. Today one of my LPNs signed for an IV medication delivery. Two hours later the pharmacy called back and said the wrong dose was sent and they were coming back to retrieve it. I was at the NS when th...

I think it does. I can't seem to stay out of it. I am really enjoying this new position and jumped in with all I got. It's not without challenges, but I know that I will be stronger for having dealt with them. Thanks for the well wishes!

Not a nursing book, but an excellent leadership book, "the no @sshole rule" by Robert I sutton. It isn't vulgar, and explains why no other word will work in place of that one. It's my favorite. He also wrote "good boss, bad boss".

Just wanted to update this thread. The cubicle became to boring to bear, and the temp contract (thankfully) was not going to be renewed. I am now the DON at an Alzheimer's/dementia assisted living facility. It is challenging and every day is a new ad...

I was 22 when I started school. I ended up pregnant during the first semester. And then again five months after my son was born. I had two babies back to back amid clinicals and exams and stress. It did take me an extra year, but with the help of my ...

The first thing I did as an MDS dept leader was to cut down the CNA documentation. The RN doing the MDS had a difficult enough time with ambulation vs locomotion. I needed the late loss info directly from care givers. Once they only had to worry abou...

Sorry. Wasn't clear. It's unprofessional to NOT issue a letter.

I agree. I've had interviews and been called back for a second, then hear nothing for weeks! I called HR and left a voicemail "just touching base as we spoke two weeks ago ..." And still no return. At least cut me loose and don't leave me hanging. Fo...

I finished my BS last year. I want to start my MS next year. I'm currently looking for a job, so classes now would only complicate matters. The MS I want focuses specifically on nursing leadership and admin. Not overall healthcare administration. I w...

I was just wondering if anyone else had seen the new HBO show "Getting on", and what you thought about it. There are some funny moments, but mostly I just feel sad. I think I feel sad because to me, the show is supposed to be a farce, a dark comedy o...

I feel the CNS is being phased out on favor of the NP. Informatics is trending upward and will be very useful. I think I'm going for administration, myself. 2015. Good luck to you

The second episode was great. Those BOOTS! Had me laughing how could she work like that?

I have been away from a bad job for over two months. I am doing well in my new position and should feel better. In some ways things are great, but I still find that I have terrible dreams at night, can't get to sleep, second guess myself, and just ge...

Exactly why I left SNFs. This list only scratches the surface of what's wrong with long term care. Working at these places has made me regret ever becoming a nurse. I left feeling defeated and depressed. I will never set foot into these places again...